Individual provider Active NPI

Susan Ann Stewart, RN, FNP-BC

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1235374240
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN04826800 Issued in NJ
Practice address
2631 Federal St
East Camden Health Center
Camden, NJ 08105-1935
Phone
(856) 756-2266
Fax
(856) 968-2307
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN04826800 NJ Primary

Addresses

Primary practice location

2631 Federal St
East Camden Health Center
Camden, NJ 08105-1935

Mailing address

512 Lakeland Rd
Dipiero Center, Suite 536
Blackwood, NJ 08012-2946
Phone (856) 374-6248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NN04826800NJMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1235374240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 LAKELAND RD",
            "address_2": "DIPIERO CENTER, SUITE 536",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122946",
            "telephone_number": "856-374-6248",
            "fax_number": "856-374-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FEDERAL ST",
            "address_2": "EAST CAMDEN HEALTH CENTER",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081051935",
            "telephone_number": "856-756-2266",
            "fax_number": "856-968-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN04826800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.